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Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 18
Question 1
Type: MCMA
According to Peters (2002), which of the following are considered stages of policy development?
Standard Text: Select all that apply.
1. Recognition of a problem or issue
2. Agenda setting
3. Policy formation
4. Brain storming
5. Budgeting
Question 2
Type: MCMA
Health policy may at times contribute to negative trends. Certain aspects of U.S. health policy have been blamed
for creating or contributing to some of the health problems. Which of the following are associated with wayward
policies?
Standard Text: Select all that apply.
1. Lack of clinical and administrative standardization
2. Fragmented care
3. Unequal access to care
4. Turning health problems into marketing opportunities
5. Failure to curtail costs for services
Question 3
Type: MCSA
The need for health care reform has been obvious for some time but the implications of the broken U.S. health
care delivery system were largely brought to the attention of the public through which famous report?
1. Learning What Works: Infrastructure Required for Comparative Research - Workshop Summary
2. From Public Health: Revitalizing Law and Policies to Meet New Challenges
3. To Err is Human: Building A Safer Health System
4. Leading Health Indicators for Healthy People 2020
Question 4
Type: MCSA
Health information technology can be seen as a tool to aid the health care reform process through which of the
following?
1. Limited engagement
2. Sharing information with interested parties
3. Recognition of its potential to improve the safety and efficiency of health care delivery
4. Denying care to individuals who cannot pay
Question 5
Type: MCSA
President George W. Bush signed a law that mandated the development of an EHR for every American by which
year?
1. 2013
2. 2014
3. 2015
4. 2020
Question 6
Type: FIB
Widespread adoption of HIT (Health Information Technology) requires _______________ and policies that make
quality improvement and cost reduction essential to providers in order to accomplish their financial and
professional goals.
Standard Text:
Question 7
Type: MCMA
Health care technology has multiple benefits and can be instrumental in continuing the health care reform process.
Which of the following would be considered a benefit?
Standard Text: Select all that apply.
1. Immediate electronic access to all records
2. The development of best practice models
3. A larger portion of the operating budget used to purchase and maintain electronic equipment
4. Improves the safety and efficiency of health care delivery
5. Facilitates the sharing of information needed to improve the quality of care
Question 8
Type: MCMA
The Health Information Technology (HIT) Committee was created under the auspices of the Federal Advisory
Committee Act (FACA). The committee is composed of several workgroups designated by the National
Coordinator for Health IT. Which of the following are individual working groups are associated with the HIT
Committee?
Standard Text: Select all that apply.
1. Governance
2. Privacy and Security Tiger Team
3. Strategic Plan Privacy and Security Policy
4. National Health Information Network (NHIN)
5. Meaningful Use Certification/Adoption Information Exchange
Question 9
Type: MCSA
Which of the following serve as a guide in the development of the policies and technologies used to support
quality reporting and other uses of health data?
1. Budget
2. Regulations
3. Issues
4. Values
Question 10
Type: MCMA
The development of HIT policy advisory boards should reflect the needs of all citizens. To gather data needed to
create appropriate policies, special interest groups become part of the assessment and planning process. To that
end, which of the following groups support or impact health care policy?
Standard Text: Select all that apply.
1. Agency for Healthcare Research and Policy
2. Alliance for Health Reform
3. American Federation of Labor and Congress of Industrial Organizations
4. American Hospital Association
5. Henry J. Kaiser Family Foundation
Question 11
Type: MCSA
With the increased use of HIT in health care settings, nurses are asked to participate in the development of
national, state, and local policy. How can nurses gain practical experience in policy shaping and development?
1. Internships
2. Continuing education programs
3. Online legal courses
4. Volunteer in a homeless shelter
Question 12
Type: MCSA
TIGER Leadership Collaborative Report has called for transformation of the health care delivery system through
the development of a national health information infrastructure that requires nurse leaders “understand, promote,
own, and measure the success of health IT.” To do so, which of the following strategies cannot be incorporated?
1. Education programs for nurse executives and faculty that stress the value of information technology and
empower them to use HIT appropriately
2. The expansion/integration of informatics competencies into nursing leadership development programs
3. Exchange best practice models with physician groups
4. Sharing of best practices using HIT effectively to improve the delivery of nursing care
Question 13
Type: MCMA
Nurse executives are asked to play important roles in the shaping of HIT policy. Which of the following apply to
ways in which they can be actively involved?
Standard Text: Select all that apply.
1. Overcome financial and cultural barriers related to HIT
2. Support and provide leadership development on HIT-related topics
3. Incrementally decrease the information technology budget line for support services
4. Contribute to research that substantiates the business case for nursing
5. Improve patient safety through the use of decision-support tools at the point of care
Question 14
Type: MCSA
Nurses can be leaders in the development and implementation of HITs by which of the following?
1. Guiding the process
2. Attending graduate school
3. Resisting change and innovation
4. Researching best practice models
Question 15
Type: MCSA
What are some of the HIT benefits that can be actualized in the health care setting?
1. Decreased point of care contact
2. Increased revenue
3. Personalized health care
4. Increased need to upgrade technology
Question 16
Type: MCMA
The future of HIT in the health care system is reliant on a number of individuals dedicated to the creation and
success of the initiative. Which of the following are some of the key figures in the positive launch of a system?
Standard Text: Select all that apply.
1. Nurse informaticians
2. Information technologists
3. Physicians
4. Vice presidents
5. Staff nurses
Question 17
Type: MCSA
What do the TIGER initiative and nursing have in common?
1. One of the top goals of the TIGER Initiative is to have more nurses play an active role in the development of a
national health care information technology infrastructure.
2. One of the top goals of the TIGER Initiative is to have more nurses create standards of approval.
3. One of the top goals of the TIGER Initiative is to move toward medical informatics.
4. One of the top TIGER initiative goals is to add supportive personnel at the bedside.
